Evidence map›Paper›PMID 32936812›Full record

SynthesisPloS one2020

Interventions for increasing colorectal cancer screening uptake among African-American men: A systematic review and meta-analysis.

Charles R Rogers, Phung Matthews, Lei Xu, Kenneth Boucher, Colin Riley, Matthew Huntington, Nathan Le Duc, Kola S Okuyemi, Margaret J Foster

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Primary and Secondary Prevention Interventions to Reduce Risk Factors Associated with Colorectal Cancer in High-Risk Groups: a Systematic Literature Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. A Systematic Review on the Effective Teaching Strategies and Methods for Cancer Patient Education.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
    Review
  7. Article
  8. Leveraging Patient Education to Amplify Colorectal Cancer Screening in the United States: Strategies and Implications.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
    Review
  9. Residential Segregation and Colorectal Cancer Screening in the United States, 2010 to 2018.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  10. DOST: A consolidated health behavior model that maps factors influencing cancer screening uptake.Archives of public health = Archives belges de sante publique · 2025
    Article
  11. Article
  12. Masculinity and colorectal cancer screening: a cross-sectional study of men attending state fairs in Minnesota and Wisconsin.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Qualitative Analysis of Colorectal Cancer Screening for African American and Hispanic Populations in Nebraska: an Application of the PRECEDE Framework.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Charles R RogersDepartment of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, Utah, United States of America.ORCID 0000-0002-3571-8229
Phung MatthewsDepartment of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, Utah, United States of America.
Lei XuDepartment of Health Education and Promotion, East Carolina University, Greenville, NC, United States of America.
Kenneth BoucherCancer Biostatistics Shared Resource, Huntsman Cancer Institute, Salt Lake City, UT, United States of America.
Colin RileyDepartment of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, Utah, United States of America.
Matthew HuntingtonDepartment of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, Utah, United States of America.
Nathan Le DucDepartment of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, Utah, United States of America.
Kola S OkuyemiDepartment of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, Utah, United States of America.
Margaret J FosterMedical Sciences Library, Texas A&M University, College Station, TX, United States of America.
University of Utah · USEast Carolina University · USHuntsman Cancer Institute · USTexas A&M University · US

Funding

UTAH REGIONAL CANCER CENTERP30CA042014 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Jared P Rutter · 1986 to 2026
$72.6M
Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
Developing a Barbershop-Based Trial on Masculinity Barriers to Care and Colorectal Cancer Screening Uptake among African-American Men using a MixedMethods ApproachK01CA234319 · NCI · UNIVERSITY OF UTAH · PI ROGERS, CHARLES R. · 2018 to 2022
$878k
NCATS NIH HHS UL1 TR002538NCI NIH HHS K01 CA234319NCI NIH HHS P30 CA042014
6 · The paper itself

Abstract

backgroundAfrican-American men have the lowest 5-year survival rate in the U.S. for colorectal cancer (CRC) of any racial group, which may partly stem from low screening adherence. It is imperative to synthesize the literature evaluating the effectiveness of interventions on CRC screening uptake in this population. MATERIALS AND

methodsIn this systematic review and meta-analysis, Medline, CINAHL, Embase, and Cochrane CENTRAL were searched for U.S.-based interventions that: were published after 1998-January 2020; included African-American men; and evaluated CRC screening uptake explicitly. Checklist by Cochrane Collaboration and Joanna Brigg were utilized to assess risk of bias, and meta-regression and sensitivity analyses were employed to identify the most effective interventions.

resultsOur final sample comprised 41 studies with 2 focused exclusively on African-American men. The most frequently adopted interventions were educational materials (39%), stool-based screening kits (14%), and patient navigation (11%). Most randomized controlled trials failed to provide details about the blinding of the participant recruitment method, allocation concealment method, and/or the outcome assessment. Due to high heterogeneity, meta-analysis was conducted among 17 eligible studies. Interventions utilizing stool-based kits or patient navigation were most effective at increasing CRC screening completion, with odds ratios of 9.60 (95% CI 2.89-31.82, p = 0.0002) and 2.84 (95% CI 1.23-6.49, p = 0.01). No evidence of publication bias was present for this study registered with the International Prospective Registry of Systematic Reviews (PROSPERO 2019 CRD42019119510).

conclusionsAdditional research is warranted to uncover effective, affordable interventions focused on increasing CRC screening completion among African-American men. When designing and implementing future multicomponent interventions, employing 4 or fewer interventions types may reduce bias risk. Since only 5% of the interventions solely focused on African-American men, future theory-driven interventions should consider recruiting samples comprised solely of this population.

Indexed as

Health Knowledge, Attitudes, PracticeBlack or African AmericanColorectal NeoplasmsEarly Detection of CancerHumansMalePatient Acceptance of Health CarePatient Education as TopicPrognosis

Identifiers

PMID32936812
PMCPMC7494124
OpenAlexW2913850779

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.